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NPI Code Detail

MEDICARE: RICQUELLE K FARQUHARSON

MEDICARE: RICQUELLE K FARQUHARSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-24-347525FL

General Provider Information

NPI Number : 1558100370
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICQUELLE K FARQUHARSON
Provider Business Mailing Address
First Line : 7601 N FEDERAL HWY STE 150A
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-1663
Country : US
Telephone Number : 754-399-8507
Fax Number :
Provider Business Practice Location Address
First Line : 7601 N FEDERAL HWY STE 150A
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-1663
Country : US
Telephone Number : 754-399-8507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2024
Last Update Date : 05/21/2024

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Directions to “ RICQUELLE K FARQUHARSON ” Practice Location

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